Robert Arthur Wise, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036057776 Issued in IL

Practice address

122 S Michigan Ave Ste 1025
Chicago, IL 60603-6264

Phone

(630) 669-4628

Fax

(630) 669-4628

NPI assigned

Jul 26, 2017

Last updated

Jul 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1073037636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BROWNTOWN RD",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287485113",
            "telephone_number": "630-669-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1025",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036264",
            "telephone_number": "630-669-4628",
            "fax_number": "630-669-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ROBERT",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036057776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Mind Psychotherapy
• Wise Roots Wellness, LLC
• Elisabeth A Wise
• Kelly Wise
• Rachel Wise, DPT
• Sharon I Wise
• Stephen R Wise, M.D.
• Xoe A Wise, LSW
• Douglas Wiseman, MD
• Jennifer R Wiseman, MD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.